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dic='[{"formItemId":1463799816432689153,"isDefault":0,"updateDate":1700191450000,"code":"def","id":1463800339839885314,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463799816432689153,"isDefault":0,"updateDate":1700191450000,"code":"a","id":1463800342125780994,"indNo":2,"isActive":1,"desc":"日间化疗"},{"formItemId":1463799816432689153,"isDefault":0,"updateDate":1700191450000,"code":"b","id":1463800343501512705,"indNo":3,"isActive":1,"desc":"住院化疗"}]'><div style="display:inline-block;width:35%;" title="ALL-0-1-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>治疗模式</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463799816432689153" itemCode="ALL-0-1-1"><a id="1463799816432689153_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463799816432689153_Note"></span></div><div class="itemTR" id="1463799818676641794_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-0-1-1-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>质控医师</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463799818676641794" itemCode="CM-0-1-1-1"><a id="1463799818676641794_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463799818676641794_Note"></span></div><div class="itemTR" id="1463799820736045057_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-0-1-1-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>质控护士</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463799820736045057" itemCode="CM-0-1-1-2"><a id="1463799820736045057_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463799820736045057_Note"></span></div><div class="itemTR" id="1463799822770282497_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-0-1-1-3" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>主治医师</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463799822770282497" itemCode="CM-0-1-1-3"><a id="1463799822770282497_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463799822770282497_Note"></span></div><div class="itemTR" id="1463799824817102850_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-0-1-1-4" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>责任护士</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463799824817102850" itemCode="CM-0-1-1-4"><a id="1463799824817102850_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463799824817102850_Note"></span></div><div class="itemTR" id="1463799826863923202_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-0-1-1-5" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>上报科室</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463799826863923202" itemCode="CM-0-1-1-5"><a id="1463799826863923202_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463799826863923202_Note"></span></div><div class="itemTR" id="1463799828898160642_Row" dic='[]'><div style="display:inline-block;width:35%;" title="caseId" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>患儿病案号</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463799828898160642" itemCode="caseId"><a id="1463799828898160642_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463799828898160642_Note"></span></div><div class="itemTR" id="1463799830924009474_Row" dic='[]'><div style="display:inline-block;width:35%;" title="IDCard" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>患儿身份证号</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463799830924009474" itemCode="IDCard"><a id="1463799830924009474_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463799830924009474_Note"></span></div><div class="itemTR" id="1463799833272819714_Row" dic='[{"formItemId":1463799833272819714,"isDefault":0,"updateDate":1700191450000,"code":"def","id":1463800345065988097,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463799833272819714,"isDefault":0,"updateDate":1700191450000,"code":"a","id":1463800346911481858,"indNo":2,"isActive":1,"desc":"C91.0 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itemCode="ALL-0-1-3-1"><a id="1463799835588075522_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463799835588075522_Note"></span></div><div class="itemTR" id="1463799837928497154_Row" dic='[{"formItemId":1463799837928497154,"isDefault":0,"updateDate":1700191450000,"code":"def","id":1463800350422114305,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463799837928497154,"isDefault":0,"updateDate":1700191450000,"code":"a","id":1463800353836277762,"indNo":2,"isActive":1,"desc":"C91.000 急性淋巴细胞白血病"},{"formItemId":1463799837928497154,"isDefault":0,"updateDate":1700191450000,"code":"b","id":1463800354649972738,"indNo":3,"isActive":1,"desc":"C91.000x006 前B细胞急性淋巴细胞白血病"},{"formItemId":1463799837928497154,"isDefault":0,"updateDate":1700191450000,"code":"c","id":1463800355836960770,"indNo":4,"isActive":1,"desc":"C91.000x007 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id="1463799840075980801" itemCode="ALL-0-1-3-2"><a id="1463799840075980801_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463799840075980801_Note"></span></div><p title="相关日期时间信息" class="itemsubCat">相关日期时间信息</p><div class="itemTR" id="1463799842198298625_Row" dic='[{"formItemId":1463799842198298625,"isDefault":0,"updateDate":1700191450000,"code":"def","id":1463800358345154562,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463799842198298625,"isDefault":0,"updateDate":1700191450000,"code":"a","id":1463800360442306562,"indNo":2,"isActive":1,"desc":"99.25 注射或输注癌瘤化学治疗药物"},{"formItemId":1463799842198298625,"isDefault":0,"updateDate":1700191450000,"code":"oth","id":1463800361440550914,"indNo":4,"isActive":1,"desc":"其他"},{"formItemId":1463799842198298625,"isDefault":0,"updateDate":1700191450000,"code":"b","id":1725354111018221570,"indNo":3,"isActive":1,"desc":"03.92 椎管其他药物的注射"}]'><div style="display:inline-block;width:35%;" title="CM-0-1-4-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>主要手术操作栏中提取ICD-9-CM-3四位亚目编码与名称</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463799842198298625" itemCode="CM-0-1-4-1"><a id="1463799842198298625_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463799842198298625_Note"></span></div><div class="itemTR" id="1463799844320616450_Row" dic='[]'><div style="display:inline-block;width:35%;" title="ALL-0-1-4-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其他主要手术操作ICD-9-CM-3四位亚目编码与名称</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463799844320616450" itemCode="ALL-0-1-4-1"><a id="1463799844320616450_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463799844320616450_Note"></span></div><div class="itemTR" id="1463799846463905794_Row" dic='[{"formItemId":1463799846463905794,"isDefault":0,"updateDate":1700191450000,"code":"def","id":1463800364435283970,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463799846463905794,"isDefault":0,"updateDate":1700191450000,"code":"a","id":1463800366146560001,"indNo":2,"isActive":1,"desc":"99.2500 注射或输注癌瘤化学治疗药物"},{"formItemId":1463799846463905794,"isDefault":0,"updateDate":1700191450000,"code":"b","id":1463800366935089153,"indNo":3,"isActive":1,"desc":"99.2503 静脉注射化疗药物"},{"formItemId":1463799846463905794,"isDefault":0,"updateDate":1700191450000,"code":"c","id":1463800367727812609,"indNo":4,"isActive":1,"desc":"99.2500x036 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style="color:red">*</span>其他主要手术操作ICD-9-CM-3六位临床扩展编码与名称</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463799848632360961" itemCode="ALL-0-1-4-2"><a id="1463799848632360961_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463799848632360961_Note"></span></div><div class="itemTR" id="1463799850800816129_Row" dic='[{"formItemId":1463799850800816129,"isDefault":0,"updateDate":1700191450000,"code":"y","id":1463800370173091842,"indNo":1,"isActive":1,"desc":"是"},{"formItemId":1463799850800816129,"isDefault":1,"updateDate":1700191450000,"code":"n","id":1463800370974203905,"indNo":2,"isActive":1,"desc":"否"}]'><div style="display:inline-block;width:35%;" title="CM-0-1-5" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>是否出院后31天内非计划重复住院</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1463799850800816129" itemCode="CM-0-1-5"></div><a id="1463799850800816129_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463799850800816129_Note"></span></div><div class="itemTR" id="1463799852973465601_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-0-2-1-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>出生日期</div><input placeholder="点击选择" class="Date" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463799852973465601" itemCode="CM-0-2-1-1"><a id="1463799852973465601_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463799852973465601_Note"></span></div><div class="itemTR" id="1463799855213223938_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-0-2-1-3" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>患儿体重（kg）</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463799855213223938" itemCode="CM-0-2-1-3"><a id="1463799855213223938_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463799855213223938_Note"></span></div><div class="itemTR" id="1463799857494925314_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-0-2-1-5" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>患儿身高（cm）</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463799857494925314" itemCode="CM-0-2-1-5"><a id="1463799857494925314_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463799857494925314_Note"></span></div><div class="itemTR" id="1491964335927328770_Row" dic='[{"formItemId":1491964335927328770,"isDefault":0,"updateDate":1700191450000,"code":"M","id":1491964341665136641,"indNo":1,"isActive":1,"desc":"男"},{"formItemId":1491964335927328770,"isDefault":0,"updateDate":1700191450000,"code":"F","id":1491964341673525249,"indNo":2,"isActive":1,"desc":"女"}]'><div style="display:inline-block;width:35%;" title="CM-0-2-1-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>患儿性别</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1491964335927328770" itemCode="CM-0-2-1-2"></div><a id="1491964335927328770_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1491964335927328770_Note"></span></div><p title="其他相关信息" class="itemsubCat">其他相关信息</p><div class="itemTR" id="1463799861768921090_Row" dic='[{"formItemId":1463799861768921090,"isDefault":0,"updateDate":1700191450000,"code":"UTD","id":1463800372861640705,"indNo":1,"isActive":1,"desc":"无法确定或无记录"}]'><div style="display:inline-block;width:35%;" title="CM-0-2-2-1" class="itemDescTD">发病日期时间是否无法确定或无记录</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1463799861768921090" itemCode="CM-0-2-2-1"></div><a id="1463799861768921090_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463799861768921090_Note"></span></div><div class="itemTR" id="1463799863975124993_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-0-2-2-2" class="itemDescTD">发病日期时间</div><input placeholder="点击选择" class="DateT" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463799863975124993" itemCode="CM-0-2-2-2"><a id="1463799863975124993_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463799863975124993_Note"></span></div><div class="itemTR" id="1463799867905187841_Row" dic='[{"formItemId":1463799867905187841,"isDefault":0,"updateDate":1700191450000,"code":"UTD","id":1463800374484836353,"indNo":1,"isActive":1,"desc":"无法确定或无记录"}]'><div style="display:inline-block;width:35%;" title="ALL-0-2-3-1" class="itemDescTD">入住日间化疗日期时间是否无法确定或无记录</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1463799867905187841" itemCode="ALL-0-2-3-1"></div><a id="1463799867905187841_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463799867905187841_Note"></span></div><div class="itemTR" id="1463799870165917697_Row" dic='[]'><div style="display:inline-block;width:35%;" title="ALL-0-2-3-2" class="itemDescTD">入住日间化疗日期时间</div><input placeholder="点击选择" class="DateT" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463799870165917697" 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dic='[]'><div style="display:inline-block;width:35%;" title="ALL-2-2-3-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其他高危判断条件</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463799932661047297" itemCode="ALL-2-2-3-1"><a id="1463799932661047297_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463799932661047297_Note"></span></div><div class="itemTR" id="1463799934812725249_Row" dic='[{"formItemId":1463799934812725249,"isDefault":0,"updateDate":1700191450000,"code":"UTD","id":1463800491283619842,"indNo":1,"isActive":1,"desc":"不确定"},{"formItemId":1463799934812725249,"isDefault":0,"updateDate":1700191450000,"code":"y","id":1463800492072148993,"indNo":2,"isActive":1,"desc":"是"},{"formItemId":1463799934812725249,"isDefault":0,"updateDate":1700191450000,"code":"n","id":1463800492923592705,"indNo":3,"isActive":1,"desc":"否"}]'><div style="display:inline-block;width:35%;" title="ALL-2-3-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>是否有治疗过程中更改危险度</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463799934812725249" itemCode="ALL-2-3-1"><a id="1463799934812725249_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463799934812725249_Note"></span></div><div class="itemTR" id="1463799936960208897_Row" dic='[{"formItemId":1463799936960208897,"isDefault":0,"updateDate":1700191450000,"code":"def","id":1463800496404865025,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463799936960208897,"isDefault":0,"updateDate":1700191450000,"code":"a","id":1463800497256308738,"indNo":2,"isActive":1,"desc":"低危（Low Risk，LR）判断条件"},{"formItemId":1463799936960208897,"isDefault":0,"updateDate":1700191450000,"code":"b","id":1463800498380382210,"indNo":3,"isActive":1,"desc":"中危（Intermediate risk，IR）判断条件"},{"formItemId":1463799936960208897,"isDefault":0,"updateDate":1700191450000,"code":"c","id":1463800499152134145,"indNo":4,"isActive":1,"desc":"高危（High Risk，HR）判断条件"}]'><div style="display:inline-block;width:35%;" title="ALL-2-3-2" class="itemDescTD">符合更改危险度判断条件</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463799936960208897" itemCode="ALL-2-3-2"><a id="1463799936960208897_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463799936960208897_Note"></span></div><p title="收入院诊疗符合指征" class="itemsubCat">收入院诊疗符合指征</p><div class="itemTR" id="1463799939120275458_Row" dic='[]'><div style="display:inline-block;width:35%;" title="ALL-2-3-3" class="itemDescTD">更改危险度的日期</div><input placeholder="点击选择" class="Date" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463799939120275458" itemCode="ALL-2-3-3"><a id="1463799939120275458_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463799939120275458_Note"></span></div></div><div class="itemCat" id="Title3" onclick="objScreen.toggle('ALL-3用药信息')"><span style="background-color:#027DFF">&nbsp;&nbsp;</span>&nbsp;&nbsp;ALL-3用药信息</div><div title="ALL-3用药信息"><p title="一般信息" class="itemsubCat">一般信息</p><div class="itemTR" id="1463799941263564802_Row" dic='[{"formItemId":1463799941263564802,"isDefault":0,"updateDate":1700191450000,"code":"y","id":1463800500825661441,"indNo":1,"isActive":1,"desc":"有"},{"formItemId":1463799941263564802,"isDefault":0,"updateDate":1700191450000,"code":"n","id":1463800501656133634,"indNo":2,"isActive":1,"desc":"无"}]'><div style="display:inline-block;width:35%;" title="ALL-3-1-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>是否有诱导期化疗方案</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1463799941263564802" itemCode="ALL-3-1-1"></div><a id="1463799941263564802_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463799941263564802_Note"></span></div><div class="itemTR" id="1463799943398465537_Row" dic='[{"formItemId":1463799943398465537,"isDefault":0,"updateDate":1700191450000,"code":"a","id":1463800503270940673,"indNo":1,"isActive":1,"desc":"VDLP方案"},{"formItemId":1463799943398465537,"isDefault":0,"updateDate":1700191450000,"code":"b","id":1463800504063664130,"indNo":2,"isActive":1,"desc":"VDLD方案"},{"formItemId":1463799943398465537,"isDefault":0,"updateDate":1700191450000,"code":"c","id":1463800504847998977,"indNo":3,"isActive":1,"desc":"CVDLD方案"},{"formItemId":1463799943398465537,"isDefault":0,"updateDate":1700191450000,"code":"oth","id":1463800505640722433,"indNo":4,"isActive":1,"desc":"其他化疗方案"},{"formItemId":1463799943398465537,"isDefault":0,"updateDate":1700191450000,"code":"UTD","id":1463800506454417410,"indNo":5,"isActive":1,"desc":"无法确定或无记录"}]'><div style="display:inline-block;width:35%;" title="ALL-3-1-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>化疗方案</div><div class="CheckGroup" style="width:35%;border:0;display:inline-block;" id="1463799943398465537" itemCode="ALL-3-1-2"></div><a id="1463799943398465537_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463799943398465537_Note"></span></div><div class="itemTR" id="1463799945545949185_Row" dic='[]'><div style="display:inline-block;width:35%;" title="ALL-3-1-2-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其他化疗方案名称</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463799945545949185" itemCode="ALL-3-1-2-1"><a id="1463799945545949185_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463799945545949185_Note"></span></div><div class="itemTR" id="1463799947697627137_Row" dic='[{"formItemId":1463799947697627137,"isDefault":0,"updateDate":1700191450000,"code":"a","id":1463800508010504193,"indNo":1,"isActive":1,"desc":"环磷酰胺（CTX）"},{"formItemId":1463799947697627137,"isDefault":0,"updateDate":1700191450000,"code":"b","id":1463800508799033345,"indNo":2,"isActive":1,"desc":"长春新碱（VCR）"},{"formItemId":1463799947697627137,"isDefault":0,"updateDate":1700191450000,"code":"c","id":1463800509583368194,"indNo":3,"isActive":1,"desc":"长春地辛（VDS）"},{"formItemId":1463799947697627137,"isDefault":0,"updateDate":1700191450000,"code":"d","id":1463800510367703042,"indNo":4,"isActive":1,"desc":"柔红霉素（DNR）"},{"formItemId":1463799947697627137,"isDefault":0,"updateDate":1700191450000,"code":"e","id":1463800511139454977,"indNo":5,"isActive":1,"desc":"左旋门冬酰胺酶（L-asp）"},{"formItemId":1463799947697627137,"isDefault":0,"updateDate":1700191450000,"code":"f","id":1463800511919595521,"indNo":6,"isActive":1,"desc":"培门冬（PEG-ASP）"},{"formItemId":1463799947697627137,"isDefault":0,"updateDate":1700191450000,"code":"g","id":1463800512699736065,"indNo":7,"isActive":1,"desc":"泼尼松"},{"formItemId":1463799947697627137,"isDefault":0,"updateDate":1700191450000,"code":"h","id":1463800513509236738,"indNo":8,"isActive":1,"desc":"地塞米松"},{"formItemId":1463799947697627137,"isDefault":0,"updateDate":1700191450000,"code":"oth","id":1463800514318737410,"indNo":9,"isActive":1,"desc":"其他治疗用药"}]'><div style="display:inline-block;width:35%;" title="ALL-3-2-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>治疗用药的选择</div><div class="CheckGroup" style="width:35%;border:0;display:inline-block;" id="1463799947697627137" itemCode="ALL-3-2-1"></div><a id="1463799947697627137_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463799947697627137_Note"></span></div><div class="itemTR" id="1463799949819944962_Row" dic='[{"formItemId":1463799949819944962,"isDefault":0,"updateDate":1700191450000,"code":"def","id":1463800515916767233,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463799949819944962,"isDefault":0,"updateDate":1700191450000,"code":"a","id":1463800516717879297,"indNo":2,"isActive":1,"desc":"环磷酰胺（CTX）1000mg/m²/次，1次，静点"},{"formItemId":1463799949819944962,"isDefault":0,"updateDate":1700191450000,"code":"oth","id":1463800517502214146,"indNo":3,"isActive":1,"desc":"环磷酰胺其他用药方案"}]'><div style="display:inline-block;width:35%;" title="ALL-3-2-1-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>环磷酰胺</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463799949819944962" itemCode="ALL-3-2-1-1"><a id="1463799949819944962_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463799949819944962_Note"></span></div><div class="itemTR" id="1463799952005177346_Row" dic='[]'><div style="display:inline-block;width:35%;" title="ALL-3-2-1-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其他环磷酰胺用药输注方式</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463799952005177346" itemCode="ALL-3-2-1-2"><a id="1463799952005177346_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463799952005177346_Note"></span></div><div class="itemTR" id="1463799954446262274_Row" dic='[]'><div style="display:inline-block;width:35%;" title="ALL-3-2-1-3" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其他环磷酰胺用药(mg/m²/次)</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463799954446262274" itemCode="ALL-3-2-1-3"><a id="1463799954446262274_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463799954446262274_Note"></span></div><div class="itemTR" id="1463799956761518082_Row" dic='[]'><div style="display:inline-block;width:35%;" title="ALL-3-2-1-4" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其他环磷酰胺用药次数(次)</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463799956761518082" itemCode="ALL-3-2-1-4"><a id="1463799956761518082_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463799956761518082_Note"></span></div><div class="itemTR" id="1463799958888030209_Row" dic='[{"formItemId":1463799958888030209,"isDefault":0,"updateDate":1700191450000,"code":"def","id":1463800519112826881,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463799958888030209,"isDefault":0,"updateDate":1700191450000,"code":"a","id":1463800519943299073,"indNo":2,"isActive":1,"desc":"长春新碱（VCR）1.5mg/m²/次，每周1次，共4次，每次最大量不超过2mg"},{"formItemId":1463799958888030209,"isDefault":0,"updateDate":1700191450000,"code":"oth","id":1463800520769576962,"indNo":3,"isActive":1,"desc":"长春新碱其他用药方案"}]'><div style="display:inline-block;width:35%;" title="ALL-3-2-1-5" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>长春新碱</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463799958888030209" itemCode="ALL-3-2-1-5"><a id="1463799958888030209_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463799958888030209_Note"></span></div><div class="itemTR" id="1463799961048096770_Row" dic='[]'><div style="display:inline-block;width:35%;" title="ALL-3-2-1-6" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其他长春新碱用药(mg/m²/次)</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463799961048096770" itemCode="ALL-3-2-1-6"><a id="1463799961048096770_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463799961048096770_Note"></span></div><div class="itemTR" id="1463799995592384513_Row" dic='[]'><div style="display:inline-block;width:35%;" title="ALL-3-2-1-22" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其他培门冬用药(u/m²/次)</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463799995592384513" itemCode="ALL-3-2-1-22"><a id="1463799995592384513_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463799995592384513_Note"></span></div><div class="itemTR" id="1463799997744062466_Row" dic='[]'><div style="display:inline-block;width:35%;" title="ALL-3-2-1-23" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其他培门冬用药天数(d)</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463799997744062466" itemCode="ALL-3-2-1-23"><a id="1463799997744062466_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463799997744062466_Note"></span></div><div class="itemTR" id="1463799999899934721_Row" dic='[]'><div style="display:inline-block;width:35%;" title="ALL-3-2-1-24" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其他培门冬用药(d)</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463799999899934721" itemCode="ALL-3-2-1-24"><a id="1463799999899934721_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463799999899934721_Note"></span></div><div class="itemTR" id="1463800002043224065_Row" dic='[{"formItemId":1463800002043224065,"isDefault":0,"updateDate":1700191450000,"code":"def","id":1463800536921841665,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463800002043224065,"isDefault":0,"updateDate":1700191450000,"code":"a","id":1463800537718759426,"indNo":2,"isActive":1,"desc":"泼尼松，45-60mg/m²/d，d1-28，第29-35天递减至停"},{"formItemId":1463800002043224065,"isDefault":0,"updateDate":1700191450000,"code":"oth","id":1463800538540843010,"indNo":3,"isActive":1,"desc":"泼尼松其他用药方案"}]'><div style="display:inline-block;width:35%;" title="ALL-3-2-1-25" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>泼尼松</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463800002043224065" itemCode="ALL-3-2-1-25"><a id="1463800002043224065_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463800002043224065_Note"></span></div><div class="itemTR" id="1463800004182319106_Row" dic='[]'><div style="display:inline-block;width:35%;" title="ALL-3-2-1-26" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其他泼尼松用药(mg/m²/d)</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463800004182319106" itemCode="ALL-3-2-1-26"><a id="1463800004182319106_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463800004182319106_Note"></span></div><div class="itemTR" id="1463800006392717313_Row" dic='[]'><div style="display:inline-block;width:35%;" title="ALL-3-2-1-27" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其他泼尼松用药天数(d)</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463800006392717313" itemCode="ALL-3-2-1-27"><a id="1463800006392717313_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463800006392717313_Note"></span></div><div class="itemTR" id="1463800008552783873_Row" dic='[]'><div style="display:inline-block;width:35%;" title="ALL-3-2-1-28" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其他泼尼松用药递减至停天数(天)</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463800008552783873" itemCode="ALL-3-2-1-28"><a id="1463800008552783873_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463800008552783873_Note"></span></div><div class="itemTR" id="1463800010633158657_Row" dic='[{"formItemId":1463800010633158657,"isDefault":0,"updateDate":1700191450000,"code":"def","id":1463800540122095618,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463800010633158657,"isDefault":0,"updateDate":1700191450000,"code":"a","id":1463800540910624769,"indNo":2,"isActive":1,"desc":"地塞米松，6-8mg/m²/d，d8-28，第29-35天递减至停"},{"formItemId":1463800010633158657,"isDefault":0,"updateDate":1700191450000,"code":"oth","id":1463800541745291266,"indNo":3,"isActive":1,"desc":"地塞米松其他用药方案"}]'><div style="display:inline-block;width:35%;" title="ALL-3-2-1-29" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>地塞米松</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463800010633158657" itemCode="ALL-3-2-1-29"><a id="1463800010633158657_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463800010633158657_Note"></span></div><div class="itemTR" id="1463800012671590402_Row" dic='[]'><div style="display:inline-block;width:35%;" title="ALL-3-2-1-30" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其他地塞米松用药(mg/m²/d)</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463800012671590402" itemCode="ALL-3-2-1-30"><a id="1463800012671590402_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463800012671590402_Note"></span></div><div class="itemTR" id="1463800014785519618_Row" dic='[]'><div style="display:inline-block;width:35%;" title="ALL-3-2-1-31" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其他地塞米松用药天数(d)</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463800014785519618" itemCode="ALL-3-2-1-31"><a id="1463800014785519618_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463800014785519618_Note"></span></div><div class="itemTR" id="1463800016886865921_Row" dic='[]'><div style="display:inline-block;width:35%;" title="ALL-3-2-1-32" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其他地塞米松用药递减至停天数(天)</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463800016886865921" itemCode="ALL-3-2-1-32"><a id="1463800016886865921_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463800016886865921_Note"></span></div><div class="itemTR" id="1463800019143401473_Row" dic='[]'><div style="display:inline-block;width:35%;" title="ALL-3-2-1-33" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其他治疗药品名称</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463800019143401473" itemCode="ALL-3-2-1-33"><a id="1463800019143401473_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463800019143401473_Note"></span></div><div class="itemTR" id="1463800021353799681_Row" dic='[]'><div style="display:inline-block;width:35%;" title="ALL-3-2-1-34" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其他治疗用药输注方式</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463800021353799681" itemCode="ALL-3-2-1-34"><a id="1463800021353799681_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463800021353799681_Note"></span></div><div class="itemTR" id="1463800023509671938_Row" dic='[]'><div style="display:inline-block;width:35%;" title="ALL-3-2-1-35" class="itemDescTD">其他治疗药品规格</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463800023509671938" itemCode="ALL-3-2-1-35"><a id="1463800023509671938_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463800023509671938_Note"></span></div><div class="itemTR" id="1463800026974167042_Row" dic='[]'><div style="display:inline-block;width:35%;" title="ALL-3-2-1-36" class="itemDescTD">其他治疗用药天数(天)</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463800026974167042" itemCode="ALL-3-2-1-36"><a id="1463800026974167042_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463800026974167042_Note"></span></div><div class="itemTR" id="1463800029104873473_Row" dic='[]'><div style="display:inline-block;width:35%;" title="ALL-3-2-1-37" class="itemDescTD">其他治疗用药次数(次)</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463800029104873473" itemCode="ALL-3-2-1-37"><a id="1463800029104873473_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463800029104873473_Note"></span></div><div class="itemTR" id="1463800031248162817_Row" dic='[]'><div style="display:inline-block;width:35%;" title="ALL-3-2-1-38" class="itemDescTD">其他治疗用药递减至停天数(天)</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463800031248162817" itemCode="ALL-3-2-1-38"><a id="1463800031248162817_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463800031248162817_Note"></span></div><p title="具有高卒中复发风险因素" class="itemsubCat">具有高卒中复发风险因素</p><div class="itemTR" id="1463799963174608897_Row" dic='[]'><div style="display:inline-block;width:35%;" title="ALL-3-2-1-7" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其他长春新碱用药每周次数(次)</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463799963174608897" itemCode="ALL-3-2-1-7"><a id="1463799963174608897_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463799963174608897_Note"></span></div><div class="itemTR" id="1463799965326286849_Row" dic='[]'><div style="display:inline-block;width:35%;" title="ALL-3-2-1-8" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其他长春新碱用药共计次数(次)</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463799965326286849" itemCode="ALL-3-2-1-8"><a id="1463799965326286849_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463799965326286849_Note"></span></div><p title="使用双联抗血小板药物禁忌症" class="itemsubCat">使用双联抗血小板药物禁忌症</p><div class="itemTR" id="1463799967436021762_Row" dic='[{"formItemId":1463799967436021762,"isDefault":0,"updateDate":1700191450000,"code":"def","id":1463800522401161217,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463799967436021762,"isDefault":0,"updateDate":1700191450000,"code":"a","id":1463800524271820801,"indNo":2,"isActive":1,"desc":"长春地辛（VDS）3mg/m²/次，每周1次，共4次"},{"formItemId":1463799967436021762,"isDefault":0,"updateDate":1700191450000,"code":"oth","id":1463800525106487298,"indNo":3,"isActive":1,"desc":"长春地辛其他用药方案"}]'><div style="display:inline-block;width:35%;" title="ALL-3-2-1-9" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>长春地辛</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463799967436021762" itemCode="ALL-3-2-1-9"><a id="1463799967436021762_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463799967436021762_Note"></span></div><div class="itemTR" id="1463799969600282626_Row" dic='[]'><div style="display:inline-block;width:35%;" title="ALL-3-2-1-10" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其他长春地辛用药(mg/m²/次)</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463799969600282626" itemCode="ALL-3-2-1-10"><a id="1463799969600282626_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463799969600282626_Note"></span></div><p title="入院后首剂双联抗血小板药物给予时间" class="itemsubCat">入院后首剂双联抗血小板药物给予时间</p><div class="itemTR" id="1463799971781320706_Row" dic='[]'><div style="display:inline-block;width:35%;" title="ALL-3-2-1-11" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其他长春地辛用药每周次数(次)</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463799971781320706" itemCode="ALL-3-2-1-11"><a id="1463799971781320706_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463799971781320706_Note"></span></div><div class="itemTR" id="1463799973932998658_Row" dic='[]'><div style="display:inline-block;width:35%;" title="ALL-3-2-1-12" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其他长春地辛用药共计次数(次)</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463799973932998658" itemCode="ALL-3-2-1-12"><a id="1463799973932998658_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463799973932998658_Note"></span></div><p title="选择双联抗血小板药物" class="itemsubCat">选择双联抗血小板药物</p><div class="itemTR" id="1463799976059510786_Row" dic='[{"formItemId":1463799976059510786,"isDefault":0,"updateDate":1700191450000,"code":"def","id":1463800526733877250,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463799976059510786,"isDefault":0,"updateDate":1700191450000,"code":"a","id":1463800527652429825,"indNo":2,"isActive":1,"desc":"柔红霉素（DNR）30mg/m²/次，每周1次，共2-4次"},{"formItemId":1463799976059510786,"isDefault":0,"updateDate":1700191450000,"code":"oth","id":1463800528428376066,"indNo":3,"isActive":1,"desc":"柔红霉素其他用药方案"}]'><div style="display:inline-block;width:35%;" title="ALL-3-2-1-13" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>柔红霉素</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463799976059510786" itemCode="ALL-3-2-1-13"><a id="1463799976059510786_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463799976059510786_Note"></span></div><div class="itemTR" id="1463799978181828610_Row" dic='[]'><div style="display:inline-block;width:35%;" title="ALL-3-2-1-14" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其他柔红霉素用药(mg/m²/次)</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463799978181828610" itemCode="ALL-3-2-1-14"><a id="1463799978181828610_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463799978181828610_Note"></span></div><p title="入院后首次血脂水平评估时间" class="itemsubCat">入院后首次血脂水平评估时间</p><div class="itemTR" id="1463799980316729346_Row" dic='[]'><div style="display:inline-block;width:35%;" title="ALL-3-2-1-15" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其他柔红霉素用药每周次数(次)</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463799980316729346" itemCode="ALL-3-2-1-15"><a id="1463799980316729346_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463799980316729346_Note"></span></div><div class="itemTR" id="1463799982476795905_Row" dic='[]'><div style="display:inline-block;width:35%;" title="ALL-3-2-1-16" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其他柔红霉素用药共计次数(次)</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463799982476795905" itemCode="ALL-3-2-1-16"><a id="1463799982476795905_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463799982476795905_Note"></span></div><p title="选择血脂评估项目" class="itemsubCat">选择血脂评估项目</p><div class="itemTR" id="1463799984632668161_Row" dic='[{"formItemId":1463799984632668161,"isDefault":0,"updateDate":1700191450000,"code":"def","id":1463800530018017281,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463799984632668161,"isDefault":0,"updateDate":1700191450000,"code":"a","id":1463800530802352130,"indNo":2,"isActive":1,"desc":"左旋门冬酰胺酶（L-asp）5000-10000u/m²/次，共8-10次"},{"formItemId":1463799984632668161,"isDefault":0,"updateDate":1700191450000,"code":"oth","id":1463800531926425601,"indNo":3,"isActive":1,"desc":"左旋门冬酰胺酶其他用药方案"}]'><div style="display:inline-block;width:35%;" title="ALL-3-2-1-17" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>左旋门冬酰胺酶</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463799984632668161" itemCode="ALL-3-2-1-17"><a id="1463799984632668161_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463799984632668161_Note"></span></div><p title="评价血脂水平" class="itemsubCat">评价血脂水平</p><div class="itemTR" id="1463799986775957506_Row" dic='[]'><div style="display:inline-block;width:35%;" title="ALL-3-2-1-18" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其他左旋门冬酰胺酶用药(u/m²/次)</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463799986775957506" itemCode="ALL-3-2-1-18"><a id="1463799986775957506_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463799986775957506_Note"></span></div><p title="降脂治疗医嘱" class="itemsubCat">降脂治疗医嘱</p><div class="itemTR" id="1463799989095407617_Row" dic='[]'><div style="display:inline-block;width:35%;" title="ALL-3-2-1-19" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其他左旋门冬酰胺酶用药共计次数(次)</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463799989095407617" itemCode="ALL-3-2-1-19"><a id="1463799989095407617_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463799989095407617_Note"></span></div><div class="itemTR" id="1463799991268057089_Row" dic='[{"formItemId":1463799991268057089,"isDefault":0,"updateDate":1700191450000,"code":"def","id":1463800533499289601,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463799991268057089,"isDefault":0,"updateDate":1700191450000,"code":"a","id":1463800534287818753,"indNo":2,"isActive":1,"desc":"培门冬（PEG-ASP） 2000-2500u/m²/次，d9，d23，肌肉注射"},{"formItemId":1463799991268057089,"isDefault":0,"updateDate":1700191450000,"code":"oth","id":1463800535080542209,"indNo":3,"isActive":1,"desc":"培门冬其他用药方案"}]'><div style="display:inline-block;width:35%;" title="ALL-3-2-1-20" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>培门冬</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463799991268057089" itemCode="ALL-3-2-1-20"><a id="1463799991268057089_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463799991268057089_Note"></span></div><div class="itemTR" id="1463799993440706561_Row" dic='[]'><div style="display:inline-block;width:35%;" title="ALL-3-2-1-21" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其他培门冬用药输注方式</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463799993440706561" itemCode="ALL-3-2-1-21"><a id="1463799993440706561_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463799993440706561_Note"></span></div></div><div class="itemCat" id="Title4" onclick="objScreen.toggle('ALL-4治疗信息')"><span style="background-color:#027DFF">&nbsp;&nbsp;</span>&nbsp;&nbsp;ALL-4治疗信息</div><div title="ALL-4治疗信息"><p title="一般信息" class="itemsubCat">一般信息</p><div class="itemTR" id="1463800033353703425_Row" dic='[{"formItemId":1463800033353703425,"isDefault":0,"updateDate":1700191450000,"code":"UTD","id":1463800543339126785,"indNo":1,"isActive":1,"desc":"不确定"},{"formItemId":1463800033353703425,"isDefault":0,"updateDate":1700191450000,"code":"y","id":1463800544467394561,"indNo":2,"isActive":1,"desc":"是"},{"formItemId":1463800033353703425,"isDefault":0,"updateDate":1700191450000,"code":"n","id":1463800545377558530,"indNo":3,"isActive":1,"desc":"否"}]'><div style="display:inline-block;width:35%;" title="ALL-4-1-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>是否有早期强化治疗方案</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463800033353703425" itemCode="ALL-4-1-1"><a id="1463800033353703425_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463800033353703425_Note"></span></div><div class="itemTR" id="1463800035513769985_Row" dic='[{"formItemId":1463800035513769985,"isDefault":0,"updateDate":1700191450000,"code":"def","id":1463800546971394049,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463800035513769985,"isDefault":0,"updateDate":1700191450000,"code":"a","id":1463800547759923201,"indNo":2,"isActive":1,"desc":"CAM方案"},{"formItemId":1463800035513769985,"isDefault":0,"updateDate":1700191450000,"code":"b","id":1463800548691058690,"indNo":3,"isActive":1,"desc":"CAML方案"},{"formItemId":1463800035513769985,"isDefault":0,"updateDate":1700191450000,"code":"oth","id":1463800549471199234,"indNo":4,"isActive":1,"desc":"其他化疗方案"},{"formItemId":1463800035513769985,"isDefault":0,"updateDate":1700191450000,"code":"UTD","id":1463800550326837249,"indNo":5,"isActive":1,"desc":"无法确定或无记录"}]'><div style="display:inline-block;width:35%;" title="ALL-4-1-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>化疗方案</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463800035513769985" itemCode="ALL-4-1-2"><a id="1463800035513769985_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463800035513769985_Note"></span></div><div class="itemTR" id="1463800037657059330_Row" dic='[]'><div style="display:inline-block;width:35%;" title="ALL-4-1-2-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其他化疗方案名称</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463800037657059330" itemCode="ALL-4-1-2-1"><a id="1463800037657059330_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463800037657059330_Note"></span></div><div class="itemTR" id="1463800039800348674_Row" dic='[{"formItemId":1463800039800348674,"isDefault":0,"updateDate":1700191450000,"code":"a","id":1463800551941644289,"indNo":1,"isActive":1,"desc":"环磷酰胺（CTX）"},{"formItemId":1463800039800348674,"isDefault":0,"updateDate":1700191450000,"code":"b","id":1463800552851808257,"indNo":2,"isActive":1,"desc":"阿糖胞苷（Ara-C）"},{"formItemId":1463800039800348674,"isDefault":0,"updateDate":1700191450000,"code":"c","id":1463800553631948802,"indNo":3,"isActive":1,"desc":"6-巯基嘌呤（6-MP）"},{"formItemId":1463800039800348674,"isDefault":0,"updateDate":1700191450000,"code":"d","id":1463800554416283650,"indNo":4,"isActive":1,"desc":"培门冬酶（PEG-ASP）"},{"formItemId":1463800039800348674,"isDefault":0,"updateDate":1700191450000,"code":"oth","id":1463800555225784322,"indNo":5,"isActive":1,"desc":"其他治疗用药"}]'><div style="display:inline-block;width:35%;" title="ALL-4-2-1" class="itemDescTD">治疗用药的选择</div><div class="CheckGroup" style="width:35%;border:0;display:inline-block;" id="1463800039800348674" itemCode="ALL-4-2-1"></div><a id="1463800039800348674_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463800039800348674_Note"></span></div><div class="itemTR" id="1463800041943638018_Row" dic='[{"formItemId":1463800041943638018,"isDefault":0,"updateDate":1700191450000,"code":"def","id":1463800556916088834,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463800041943638018,"isDefault":0,"updateDate":1700191450000,"code":"a","id":1463800557788504066,"indNo":2,"isActive":1,"desc":"环磷酰胺（CTX）750-1000mg/m²/d，1次，静点"},{"formItemId":1463800041943638018,"isDefault":0,"updateDate":1700191450000,"code":"oth","id":1463800558606393346,"indNo":3,"isActive":1,"desc":"环磷酰胺其他用药方案"}]'><div style="display:inline-block;width:35%;" title="ALL-4-2-1-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>环磷酰胺</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463800041943638018" itemCode="ALL-4-2-1-1"><a id="1463800041943638018_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463800041943638018_Note"></span></div><div class="itemTR" id="1463800044078538753_Row" dic='[]'><div style="display:inline-block;width:35%;" title="ALL-4-2-1-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其他环磷酰胺用药输注方式</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463800044078538753" itemCode="ALL-4-2-1-2"><a id="1463800044078538753_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463800044078538753_Note"></span></div><div class="itemTR" id="1463800046179885057_Row" dic='[]'><div style="display:inline-block;width:35%;" title="ALL-4-2-1-3" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其他环磷酰胺用药(mg/m²/d)</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463800046179885057" itemCode="ALL-4-2-1-3"><a id="1463800046179885057_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463800046179885057_Note"></span></div><div class="itemTR" id="1463800072943738881_Row" dic='[]'><div style="display:inline-block;width:35%;" title="ALL-4-2-1-15" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其他培门冬酶用药输注方式</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463800072943738881" itemCode="ALL-4-2-1-15"><a id="1463800072943738881_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463800072943738881_Note"></span></div><div class="itemTR" id="1463800075099611138_Row" dic='[]'><div style="display:inline-block;width:35%;" title="ALL-4-2-1-16" class="itemDescTD">其他培门冬酶用药(u/m2/d)</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463800075099611138" itemCode="ALL-4-2-1-16"><a id="1463800075099611138_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463800075099611138_Note"></span></div><div class="itemTR" id="1463800077259677697_Row" dic='[]'><div style="display:inline-block;width:35%;" title="ALL-4-2-1-17" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其他培门冬酶用药天数(d)</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463800077259677697" itemCode="ALL-4-2-1-17"><a id="1463800077259677697_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463800077259677697_Note"></span></div><div class="itemTR" id="1463800079386189826_Row" dic='[]'><div style="display:inline-block;width:35%;" title="ALL-4-2-1-18" class="itemDescTD">其他培门冬酶用药次数(次)</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463800079386189826" itemCode="ALL-4-2-1-18"><a id="1463800079386189826_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463800079386189826_Note"></span></div><div class="itemTR" id="1463800081873412097_Row" dic='[]'><div style="display:inline-block;width:35%;" title="ALL-4-2-1-19" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其他治疗药品名称</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463800081873412097" itemCode="ALL-4-2-1-19"><a id="1463800081873412097_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463800081873412097_Note"></span></div><div class="itemTR" id="1463800083928621058_Row" dic='[]'><div style="display:inline-block;width:35%;" title="ALL-4-2-1-20" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其他治疗用药输注方式</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463800083928621058" itemCode="ALL-4-2-1-20"><a id="1463800083928621058_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463800083928621058_Note"></span></div><div class="itemTR" id="1463800086008995842_Row" dic='[]'><div style="display:inline-block;width:35%;" title="ALL-4-2-1-21" class="itemDescTD">其他治疗药品规格</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463800086008995842" itemCode="ALL-4-2-1-21"><a id="1463800086008995842_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463800086008995842_Note"></span></div><div class="itemTR" id="1463800088164868097_Row" dic='[]'><div style="display:inline-block;width:35%;" title="ALL-4-2-1-22" class="itemDescTD">其他治疗用药天数(天)</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463800088164868097" itemCode="ALL-4-2-1-22"><a id="1463800088164868097_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463800088164868097_Note"></span></div><div class="itemTR" id="1463800090408820738_Row" dic='[]'><div style="display:inline-block;width:35%;" title="ALL-4-2-1-23" class="itemDescTD">其他治疗用药次数(次)</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463800090408820738" itemCode="ALL-4-2-1-23"><a id="1463800090408820738_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463800090408820738_Note"></span></div><p title="出院时Essen卒中风险评分" class="itemsubCat">出院时Essen卒中风险评分</p><div class="itemTR" id="1463800048327368705_Row" dic='[]'><div style="display:inline-block;width:35%;" title="ALL-4-2-1-4" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其他环磷酰胺用药次数(次)</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463800048327368705" itemCode="ALL-4-2-1-4"><a id="1463800048327368705_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463800048327368705_Note"></span></div><div class="itemTR" id="1463800050449686530_Row" dic='[{"formItemId":1463800050449686530,"isDefault":0,"updateDate":1700191450000,"code":"def","id":1463800560191840258,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463800050449686530,"isDefault":0,"updateDate":1700191450000,"code":"a","id":1463800561278164994,"indNo":2,"isActive":1,"desc":"阿糖胞苷（Ara-C）75-100mg/m²/次，7-8天，每天1-2次静点(如每天一次，Ara-C可一周5天，连续两周共10天)"},{"formItemId":1463800050449686530,"isDefault":0,"updateDate":1700191450000,"code":"oth","id":1463800562058305538,"indNo":3,"isActive":1,"desc":"阿糖胞苷其他用药方案"}]'><div style="display:inline-block;width:35%;" title="ALL-4-2-1-5" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>阿糖胞苷</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463800050449686530" itemCode="ALL-4-2-1-5"><a id="1463800050449686530_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463800050449686530_Note"></span></div><p title="风险因素(既往史)评估" class="itemsubCat">风险因素(既往史)评估</p><div class="itemTR" id="1463800052626530306_Row" dic='[]'><div style="display:inline-block;width:35%;" title="ALL-4-2-1-6" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其他阿糖胞苷用药输注方式</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463800052626530306" itemCode="ALL-4-2-1-6"><a id="1463800052626530306_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463800052626530306_Note"></span></div><div class="itemTR" id="1463800055474462722_Row" dic='[]'><div style="display:inline-block;width:35%;" title="ALL-4-2-1-7" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其他阿糖胞苷用药(mg/m²/次)</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463800055474462722" itemCode="ALL-4-2-1-7"><a id="1463800055474462722_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463800055474462722_Note"></span></div><div class="itemTR" id="1463800057663889409_Row" dic='[]'><div style="display:inline-block;width:35%;" title="ALL-4-2-1-8" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其他阿糖胞苷用药天数(天)</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463800057663889409" itemCode="ALL-4-2-1-8"><a id="1463800057663889409_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463800057663889409_Note"></span></div><div class="itemTR" id="1463800059891064833_Row" dic='[]'><div style="display:inline-block;width:35%;" title="ALL-4-2-1-9" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其他阿糖胞苷每天用药次数(次)</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463800059891064833" itemCode="ALL-4-2-1-9"><a id="1463800059891064833_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463800059891064833_Note"></span></div><p title="出院时提供教育告知五要素" class="itemsubCat">出院时提供教育告知五要素</p><div class="itemTR" id="1463800062248263682_Row" dic='[{"formItemId":1463800062248263682,"isDefault":0,"updateDate":1700191450000,"code":"def","id":1463800563643752449,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463800062248263682,"isDefault":0,"updateDate":1700191450000,"code":"a","id":1463800564428087297,"indNo":2,"isActive":1,"desc":"6-巯基嘌呤（6-MP）50-75mg/m²/d，7-14天，空腹口服"},{"formItemId":1463800062248263682,"isDefault":0,"updateDate":1700191450000,"code":"oth","id":1463800565233393666,"indNo":3,"isActive":1,"desc":"6-巯基嘌呤其他用药方案"}]'><div style="display:inline-block;width:35%;" title="ALL-4-2-1-10" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>6-巯基嘌呤</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463800062248263682" itemCode="ALL-4-2-1-10"><a id="1463800062248263682_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463800062248263682_Note"></span></div><div class="itemTR" id="1463800064420913154_Row" dic='[]'><div style="display:inline-block;width:35%;" title="ALL-4-2-1-11" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其他6-巯基嘌呤用药输注方式</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463800064420913154" itemCode="ALL-4-2-1-11"><a id="1463800064420913154_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463800064420913154_Note"></span></div><div class="itemTR" id="1463800066564202497_Row" dic='[]'><div style="display:inline-block;width:35%;" title="ALL-4-2-1-12" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其他6-巯基嘌呤用药(mg/m²/d)</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463800066564202497" itemCode="ALL-4-2-1-12"><a id="1463800066564202497_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463800066564202497_Note"></span></div><div class="itemTR" id="1463800068715880450_Row" dic='[]'><div style="display:inline-block;width:35%;" title="ALL-4-2-1-13" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其他6-巯基嘌呤用药天数(天)</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463800068715880450" itemCode="ALL-4-2-1-13"><a id="1463800068715880450_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463800068715880450_Note"></span></div><div class="itemTR" id="1463800070804643842_Row" dic='[{"formItemId":1463800070804643842,"isDefault":0,"updateDate":1700191450000,"code":"def","id":1463800566814646273,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463800070804643842,"isDefault":0,"updateDate":1700191450000,"code":"a","id":1463800567607369730,"indNo":2,"isActive":1,"desc":"培门冬酶（PEG-ASP）2000-2500u/m2/d，d2，1次，肌肉注射"},{"formItemId":1463800070804643842,"isDefault":0,"updateDate":1700191450000,"code":"oth","id":1463800568383315969,"indNo":3,"isActive":1,"desc":"培门冬酶其他用药方案"}]'><div style="display:inline-block;width:35%;" title="ALL-4-2-1-14" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>培门冬酶</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463800070804643842" itemCode="ALL-4-2-1-14"><a id="1463800070804643842_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463800070804643842_Note"></span></div></div><div class="itemCat" id="Title5" onclick="objScreen.toggle('ALL-5评估信息')"><span style="background-color:#027DFF">&nbsp;&nbsp;</span>&nbsp;&nbsp;ALL-5评估信息</div><div title="ALL-5评估信息"><p title="一般信息" class="itemsubCat">一般信息</p><div class="itemTR" id="1463800092845711361_Row" dic='[{"formItemId":1463800092845711361,"isDefault":0,"updateDate":1700191450000,"code":"a","id":1463800569935208449,"indNo":1,"isActive":1,"desc":"缓解和复发状态的初步评价"},{"formItemId":1463800092845711361,"isDefault":0,"updateDate":1700191450000,"code":"b","id":1463800570782457858,"indNo":2,"isActive":1,"desc":"化疗期间骨髓增生情况的评估"},{"formItemId":1463800092845711361,"isDefault":0,"updateDate":1700191450000,"code":"oth","id":1463800571562598402,"indNo":3,"isActive":1,"desc":"其他评估时间点"},{"formItemId":1463800092845711361,"isDefault":0,"updateDate":1700191450000,"code":"UTD","id":1463800572355321857,"indNo":4,"isActive":1,"desc":"无法确定或无记录"}]'><div style="display:inline-block;width:35%;" title="ALL-5-1-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>骨髓细胞形态学评估时间点</div><div class="CheckGroup" style="width:35%;border:0;display:inline-block;" id="1463800092845711361" itemCode="ALL-5-1-1"></div><a id="1463800092845711361_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463800092845711361_Note"></span></div><div class="itemTR" id="1463800095026749442_Row" dic='[]'><div style="display:inline-block;width:35%;" title="ALL-5-1-1-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其他评估时间点名称</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463800095026749442" itemCode="ALL-5-1-1-1"><a id="1463800095026749442_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463800095026749442_Note"></span></div><div class="itemTR" id="1463800097153261569_Row" dic='[{"formItemId":1463800097153261569,"isDefault":0,"updateDate":1700191450000,"code":"a","id":1463800573915602945,"indNo":1,"isActive":1,"desc":"诱导缓解治疗早期(d15~19)"},{"formItemId":1463800097153261569,"isDefault":0,"updateDate":1700191450000,"code":"b","id":1463800574687354881,"indNo":2,"isActive":1,"desc":"诱导缓解治疗后(d33~d45)"},{"formItemId":1463800097153261569,"isDefault":0,"updateDate":1700191450000,"code":"c","id":1463800575475884034,"indNo":3,"isActive":1,"desc":"巩固治疗开始前(第12周左右)"},{"formItemId":1463800097153261569,"isDefault":0,"updateDate":1700191450000,"code":"oth","id":1463800576314744834,"indNo":4,"isActive":1,"desc":"其他时间点"},{"formItemId":1463800097153261569,"isDefault":0,"updateDate":1700191450000,"code":"UTD","id":1463800577107468289,"indNo":5,"isActive":1,"desc":"无法确定或无记录"}]'><div style="display:inline-block;width:35%;" title="ALL-5-1-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>治疗反应及白血病微小残留（MRD）水平评估时间点</div><div class="CheckGroup" 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class="itemDescTD"><span name="isNeeded" style="color:red">*</span>MRD评估方法</div><div class="CheckGroup" style="width:35%;border:0;display:inline-block;" id="1463800101444034561" itemCode="ALL-5-1-3"></div><a id="1463800101444034561_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463800101444034561_Note"></span></div><div class="itemTR" id="1463800103587323905_Row" dic='[]'><div style="display:inline-block;width:35%;" title="ALL-5-1-3-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其他评估方法名称</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463800103587323905" itemCode="ALL-5-1-3-1"><a id="1463800103587323905_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463800103587323905_Note"></span></div></div><div class="itemCat" id="Title6" onclick="objScreen.toggle('ALL-6不良反应')"><span style="background-color:#027DFF">&nbsp;&nbsp;</span>&nbsp;&nbsp;ALL-6不良反应</div><div title="ALL-6不良反应"><p title="一般信息" class="itemsubCat">一般信息</p><div class="itemTR" id="1463800105764167682_Row" dic='[{"formItemId":1463800105764167682,"isDefault":0,"updateDate":1700191450000,"code":"UTD","id":1463800584690769922,"indNo":1,"isActive":1,"desc":"不确定"},{"formItemId":1463800105764167682,"isDefault":0,"updateDate":1700191450000,"code":"y","id":1463800585487687681,"indNo":2,"isActive":1,"desc":"是"},{"formItemId":1463800105764167682,"isDefault":0,"updateDate":1700191450000,"code":"n","id":1463800586267828226,"indNo":3,"isActive":1,"desc":"否"}]'><div style="display:inline-block;width:35%;" title="ALL-6-1-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>是否有化疗相关的不良反应</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463800105764167682" itemCode="ALL-6-1-1"><a id="1463800105764167682_Source" style="width: 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style="display:inline-block;width:35%;" title="ALL-6-1-2" class="itemDescTD">化疗相关的不良反应种类</div><div class="CheckGroup" style="width:35%;border:0;display:inline-block;" id="1463800107974565889" itemCode="ALL-6-1-2"></div><a id="1463800107974565889_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463800107974565889_Note"></span></div><div class="itemTR" id="1463800112420528130_Row" dic='[{"formItemId":1463800112420528130,"isDefault":0,"updateDate":1700191450000,"code":"def","id":1463800600780120065,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463800112420528130,"isDefault":0,"updateDate":1700191450000,"code":"a","id":1463800601593815041,"indNo":2,"isActive":1,"desc":"急性心肌损伤"},{"formItemId":1463800112420528130,"isDefault":0,"updateDate":1700191450000,"code":"b","id":1463800602411704322,"indNo":3,"isActive":1,"desc":"慢性心功能损害"}]'><div style="display:inline-block;width:35%;" title="ALL-6-1-2-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>心脏毒性</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463800112420528130" itemCode="ALL-6-1-2-1"><a id="1463800112420528130_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463800112420528130_Note"></span></div><div class="itemTR" id="1463800114702229505_Row" dic='[{"formItemId":1463800114702229505,"isDefault":0,"updateDate":1700191450000,"code":"def","id":1463800604181700610,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463800114702229505,"isDefault":0,"updateDate":1700191450000,"code":"a","id":1463800605012172801,"indNo":2,"isActive":1,"desc":"转氨酶升高"},{"formItemId":1463800114702229505,"isDefault":0,"updateDate":1700191450000,"code":"b","id":1463800605851033602,"indNo":3,"isActive":1,"desc":"胆红素升高"}]'><div style="display:inline-block;width:35%;" title="ALL-6-1-2-3" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>肝脏毒性</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463800114702229505" itemCode="ALL-6-1-2-3"><a id="1463800114702229505_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463800114702229505_Note"></span></div><div class="itemTR" id="1463800116811964418_Row" dic='[{"formItemId":1463800116811964418,"isDefault":0,"updateDate":1700191450000,"code":"def","id":1463800607511977986,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463800116811964418,"isDefault":0,"updateDate":1700191450000,"code":"a","id":1463800608409559041,"indNo":2,"isActive":1,"desc":"阿糖胞苷相关神经毒性症状"},{"formItemId":1463800116811964418,"isDefault":0,"updateDate":1700191450000,"code":"b","id":1463800609252614146,"indNo":3,"isActive":1,"desc":"长春新碱相关神经毒性症状"}]'><div style="display:inline-block;width:35%;" title="ALL-6-1-2-5" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>神经毒性</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463800116811964418" itemCode="ALL-6-1-2-5"><a id="1463800116811964418_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463800116811964418_Note"></span></div><div class="itemTR" id="1463800118925893633_Row" dic='[{"formItemId":1463800118925893633,"isDefault":0,"updateDate":1700191450000,"code":"def","id":1463800610833866754,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463800118925893633,"isDefault":0,"updateDate":1700191450000,"code":"a","id":1463800611622395906,"indNo":2,"isActive":1,"desc":"阿糖胞苷相关肾脏毒性"},{"formItemId":1463800118925893633,"isDefault":0,"updateDate":1700191450000,"code":"b","id":1463800612423507969,"indNo":3,"isActive":1,"desc":"甲氨蝶呤（HD-MTX）相关肾脏毒性"}]'><div style="display:inline-block;width:35%;" title="ALL-6-1-2-7" class="itemDescTD"><span name="isNeeded" 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title="ALL-6-2-2" class="itemDescTD">粘膜损害程度</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463800129457790977" itemCode="ALL-6-2-2"><a id="1463800129457790977_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463800129457790977_Note"></span></div><div class="itemTR" id="1463800131609468929_Row" 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style="width:35%;border:0;height:28px;line-height:28px;" id="1463800137070452738" itemCode="ALL-6-2-5"><a id="1463800137070452738_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463800137070452738_Note"></span></div><div class="itemTR" id="1463800139318599681_Row" 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style="display:inline-block;width:35%;" title="CM-7-2-3" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>告知何为发生紧急意外情况或者疾病复发</div><div class="CheckGroup" style="width:35%;border:0;display:inline-block;" id="1463800212999938050" itemCode="CM-7-2-3"></div><a id="1463800212999938050_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463800212999938050_Note"></span></div><div class="itemTR" id="1463800215134838786_Row" dic='[]'><div style="display:inline-block;width:35%;" title="ALL-9-2-3-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其他发生紧急意外情况或者疾病复发</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463800215134838786" itemCode="ALL-9-2-3-1"><a id="1463800215134838786_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463800215134838786_Note"></span></div><div 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id="Title10" onclick="objScreen.toggle('ALL-10离院方式')"><span style="background-color:#027DFF">&nbsp;&nbsp;</span>&nbsp;&nbsp;ALL-10离院方式</div><div title="ALL-10离院方式"><p title="一般信息" class="itemsubCat">一般信息</p><div class="itemTR" id="1463800225880645633_Row" 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style="display:inline-block;width:35%;" title="CM-4-5" class="itemDescTD">非医嘱离院可能涉及因素</div><div class="CheckGroup" style="width:35%;border:0;display:inline-block;" id="1463800228065878018" itemCode="CM-4-5"></div><a id="1463800228065878018_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463800228065878018_Note"></span></div><div class="itemTR" id="1463800230200778753_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-4-4-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其他非医嘱离院因素填写</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463800230200778753" itemCode="CM-4-4-1"><a id="1463800230200778753_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463800230200778753_Note"></span></div><div class="itemTR" id="1463800233505890305_Row" 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id="1463800233505890305" itemCode="CM-4-6"><a id="1463800233505890305_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463800233505890305_Note"></span></div></div><div class="itemCat" id="Title11" onclick="objScreen.toggle('ALL-11患者对服务的体验与评价')"><span style="background-color:#027DFF">&nbsp;&nbsp;</span>&nbsp;&nbsp;ALL-11患者对服务的体验与评价</div><div title="ALL-11患者对服务的体验与评价"><p title="一般信息" class="itemsubCat">一般信息</p><div class="itemTR" id="1463800235657568258_Row" dic='[{"formItemId":1463800235657568258,"isDefault":1,"updateDate":1701949577000,"code":"y","updateUser":"batch","id":1463800762403430401,"indNo":1,"isActive":1,"desc":"是"},{"formItemId":1463800235657568258,"isDefault":0,"updateDate":1700191450000,"code":"n","id":1463800763179376641,"indNo":2,"isActive":1,"desc":"否"}]'><div style="display:inline-block;width:35%;" title="CM-5-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>患者是否对服务的体验与评价</div><div 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id="1463800242313928705_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463800242313928705_Note"></span></div><div class="itemTR" id="1463800245606457345_Row" dic='[{"formItemId":1463800245606457345,"isDefault":0,"updateDate":1700191450000,"code":"def","id":1463800777586810881,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463800245606457345,"isDefault":1,"updateDate":1701949613000,"code":"a","updateUser":"batch","id":1463800778429865985,"indNo":2,"isActive":1,"desc":"患儿家长说他们房间周边在晚上“总是”安静"},{"formItemId":1463800245606457345,"isDefault":0,"updateDate":1700191450000,"code":"b","id":1463800779340029953,"indNo":3,"isActive":1,"desc":"患儿家长说他们房间周边在晚上“经常”安静"},{"formItemId":1463800245606457345,"isDefault":0,"updateDate":1700191450000,"code":"c","id":1463800780178890754,"indNo":4,"isActive":1,"desc":"患儿家长说他们房间周边在晚上“有时”或“从不”安静"}]'><div style="display:inline-block;width:35%;" title="CM-5-2-5" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>病房与周边噪音</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463800245606457345" itemCode="CM-5-2-5"><a id="1463800245606457345_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463800245606457345_Note"></span></div><div class="itemTR" id="1463800248135622658_Row" dic='[{"formItemId":1463800248135622658,"isDefault":0,"updateDate":1700191450000,"code":"def","id":1463800781764337666,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463800248135622658,"isDefault":1,"updateDate":1701949622000,"code":"a","updateUser":"batch","id":1463800782561255426,"indNo":2,"isActive":1,"desc":"患儿家长说他们的医生“总是”很好沟通"},{"formItemId":1463800248135622658,"isDefault":0,"updateDate":1700191450000,"code":"b","id":1463800783358173186,"indNo":3,"isActive":1,"desc":"患儿家长说他们的医生“经常”很好沟通"},{"formItemId":1463800248135622658,"isDefault":0,"updateDate":1700191450000,"code":"c","id":1463800784184451074,"indNo":4,"isActive":1,"desc":"患儿家长说他们的医生“有时”或“从不”很好沟通"}]'><div style="display:inline-block;width:35%;" title="CM-5-2-6" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>医生沟通</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463800248135622658" itemCode="CM-5-2-6"><a id="1463800248135622658_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463800248135622658_Note"></span></div><div class="itemTR" id="1463800250299883522_Row" dic='[{"formItemId":1463800250299883522,"isDefault":0,"updateDate":1700191450000,"code":"def","id":1463800785795063810,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463800250299883522,"isDefault":1,"updateDate":1701949630000,"code":"a","updateUser":"batch","id":1463800786587787266,"indNo":2,"isActive":1,"desc":"患儿家长说他们的护士“总是”很好沟通"},{"formItemId":1463800250299883522,"isDefault":0,"updateDate":1700191450000,"code":"b","id":1463800787485368321,"indNo":3,"isActive":1,"desc":"患儿家长说他们的护士“经常”很好沟通"},{"formItemId":1463800250299883522,"isDefault":0,"updateDate":1700191450000,"code":"c","id":1463800788299063298,"indNo":4,"isActive":1,"desc":"患儿家长说他们的护士“有时”或“从不”很好沟通"}]'><div style="display:inline-block;width:35%;" title="CM-5-2-7" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>护士沟通</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463800250299883522" itemCode="CM-5-2-7"><a id="1463800250299883522_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463800250299883522_Note"></span></div><div class="itemTR" id="1463800252493504514_Row" dic='[{"formItemId":1463800252493504514,"isDefault":0,"updateDate":1700191450000,"code":"def","id":1463800789859344386,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463800252493504514,"isDefault":1,"updateDate":1701949637000,"code":"a","updateUser":"batch","id":1463800790643679234,"indNo":2,"isActive":1,"desc":"患儿家长说医院员工在给药前“总是”进行药品说明"},{"formItemId":1463800252493504514,"isDefault":0,"updateDate":1700191450000,"code":"b","id":1463800791448985602,"indNo":3,"isActive":1,"desc":"患儿家长说医院员工在给药前“经常”进行药品说明"},{"formItemId":1463800252493504514,"isDefault":0,"updateDate":1700191450000,"code":"c","id":1463800792254291969,"indNo":4,"isActive":1,"desc":"患儿家长说医院员工在给药前“有时”或“从不”进行药品说明"}]'><div style="display:inline-block;width:35%;" title="CM-5-2-8" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>药师沟通</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463800252493504514" itemCode="CM-5-2-8"><a id="1463800252493504514_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463800252493504514_Note"></span></div><div class="itemTR" id="1463800254661959682_Row" dic='[{"formItemId":1463800254661959682,"isDefault":0,"updateDate":1700191450000,"code":"def","id":1463800793894264834,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463800254661959682,"isDefault":1,"updateDate":1701949643000,"code":"a","updateUser":"batch","id":1463800794678599681,"indNo":2,"isActive":1,"desc":"患儿家长说医生护士已经提供了出院后在家康复期间应该做什么的信息"},{"formItemId":1463800254661959682,"isDefault":0,"updateDate":1700191450000,"code":"b","id":1463800795471323137,"indNo":3,"isActive":1,"desc":"患儿家长说医生护士说了出院后要在家做康复，但没有理解应该具体如何做"},{"formItemId":1463800254661959682,"isDefault":0,"updateDate":1700191450000,"code":"c","id":1463800796314378242,"indNo":4,"isActive":1,"desc":"患儿家长说医生护士没有提供出院后在家康复期间应该做什么的信息"}]'><div style="display:inline-block;width:35%;" title="CM-5-2-9" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>康复计划</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463800254661959682" itemCode="CM-5-2-9"><a id="1463800254661959682_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463800254661959682_Note"></span></div><div class="itemTR" id="1463800256796860418_Row" dic='[{"formItemId":1463800256796860418,"isDefault":0,"updateDate":1700191450000,"code":"def","id":1463800797866270722,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463800256796860418,"isDefault":1,"updateDate":1701949655000,"code":"a","updateUser":"batch","id":1463800798700937218,"indNo":2,"isActive":1,"desc":"患儿家长强烈同意医生护士在离院时理解了他们的知情告知"},{"formItemId":1463800256796860418,"isDefault":0,"updateDate":1700191450000,"code":"b","id":1463800799489466370,"indNo":3,"isActive":1,"desc":"患儿家长同意医生护士在离院时理解了他们的知情告知"},{"formItemId":1463800256796860418,"isDefault":0,"updateDate":1700191450000,"code":"c","id":1463800800277995522,"indNo":4,"isActive":1,"desc":"患儿家长在离院时不理解医生护士的知情告知"}]'><div style="display:inline-block;width:35%;" title="CM-5-2-10" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>出院时的知情告知</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463800256796860418" itemCode="CM-5-2-10"><a id="1463800256796860418_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463800256796860418_Note"></span></div><div class="itemTR" id="1463800259019841537_Row" dic='[{"formItemId":1463800259019841537,"isDefault":0,"updateDate":1700191450000,"code":"def","id":1463800801846665218,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463800259019841537,"isDefault":1,"updateDate":1701949661000,"code":"a","updateUser":"batch","id":1463800802647777281,"indNo":2,"isActive":1,"desc":"患儿家长给医院膳食评分9或10分"},{"formItemId":1463800259019841537,"isDefault":0,"updateDate":1700191450000,"code":"b","id":1463800803427917826,"indNo":3,"isActive":1,"desc":"患儿家长给医院膳食评分7或8分"},{"formItemId":1463800259019841537,"isDefault":0,"updateDate":1700191450000,"code":"c","id":1463800804245807105,"indNo":4,"isActive":1,"desc":"患儿家长给医院膳食评分6分及以下"}]'><div style="display:inline-block;width:35%;" title="CM-5-2-11" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>膳食评价</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463800259019841537" itemCode="CM-5-2-11"><a id="1463800259019841537_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463800259019841537_Note"></span></div></div><div class="itemCat" id="Title12" onclick="objScreen.toggle('ALL-12平均住院日与费用')"><span style="background-color:#027DFF">&nbsp;&nbsp;</span>&nbsp;&nbsp;ALL-12平均住院日与费用</div><div title="ALL-12平均住院日与费用"><p title="一般信息" class="itemsubCat">一般信息</p><div class="itemTR" id="1463800261167325186_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>住院总费用</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463800261167325186" itemCode="CM-6-1"><a id="1463800261167325186_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463800261167325186_Note"></span></div><div class="itemTR" id="1463800263339974658_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>住院总费用其中自付金额</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463800263339974658" itemCode="CM-6-2"><a id="1463800263339974658_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463800263339974658_Note"></span></div><div class="itemTR" id="1463800265491652610_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-3" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>一般医疗服务费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463800265491652610" itemCode="CM-6-3"><a id="1463800265491652610_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463800265491652610_Note"></span></div><div class="itemTR" id="1463800267723022337_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-4" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>一般治疗操作费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463800267723022337" itemCode="CM-6-4"><a id="1463800267723022337_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463800267723022337_Note"></span></div><div class="itemTR" id="1463800269966974977_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-5" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>护理费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463800269966974977" itemCode="CM-6-5"><a id="1463800269966974977_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463800269966974977_Note"></span></div><div class="itemTR" id="1463800272135430145_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-6" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>综合医疗服务类其他费用</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463800272135430145" itemCode="CM-6-6"><a id="1463800272135430145_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463800272135430145_Note"></span></div><div class="itemTR" id="1463800275620896769_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-7" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>病理诊断费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463800275620896769" itemCode="CM-6-7"><a id="1463800275620896769_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463800275620896769_Note"></span></div><div class="itemTR" id="1463800277776769025_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-8" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>实验室诊断费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463800277776769025" itemCode="CM-6-8"><a id="1463800277776769025_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463800277776769025_Note"></span></div><div class="itemTR" id="1463800279957807106_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-9" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>影像学诊断费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463800279957807106" itemCode="CM-6-9"><a id="1463800279957807106_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463800279957807106_Note"></span></div><div class="itemTR" id="1463800282151428098_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-10" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>临床诊断项目费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463800282151428098" itemCode="CM-6-10"><a id="1463800282151428098_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463800282151428098_Note"></span></div><div class="itemTR" id="1463800284458295297_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-11" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>非手术治疗项目费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463800284458295297" itemCode="CM-6-11"><a id="1463800284458295297_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463800284458295297_Note"></span></div><div class="itemTR" id="1463800286681276417_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-12" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其中：临床物理治疗费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463800286681276417" itemCode="CM-6-12"><a id="1463800286681276417_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463800286681276417_Note"></span></div><div class="itemTR" id="1463800288950394881_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-13" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>手术治疗费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463800288950394881" itemCode="CM-6-13"><a id="1463800288950394881_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463800288950394881_Note"></span></div><div class="itemTR" id="1463800292612022273_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-14" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其中：麻醉费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463800292612022273" itemCode="CM-6-14"><a id="1463800292612022273_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463800292612022273_Note"></span></div><div class="itemTR" id="1463800295157964801_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-15" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其中：手术费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463800295157964801" itemCode="CM-6-15"><a id="1463800295157964801_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463800295157964801_Note"></span></div><div class="itemTR" id="1463800297477414913_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-16" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>康复费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463800297477414913" itemCode="CM-6-16"><a id="1463800297477414913_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463800297477414913_Note"></span></div><div class="itemTR" id="1463800300988047361_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-17" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>中医治疗费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463800300988047361" itemCode="CM-6-17"><a id="1463800300988047361_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463800300988047361_Note"></span></div><div class="itemTR" id="1463800303580127233_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-18" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>西药费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463800303580127233" itemCode="CM-6-18"><a id="1463800303580127233_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463800303580127233_Note"></span></div><div class="itemTR" id="1463800306985902082_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-19" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其中：抗菌药物费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463800306985902082" itemCode="CM-6-19"><a id="1463800306985902082_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463800306985902082_Note"></span></div><div class="itemTR" id="1463800309158551553_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-20" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>中成药费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463800309158551553" itemCode="CM-6-20"><a id="1463800309158551553_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463800309158551553_Note"></span></div><div class="itemTR" id="1463800311310229506_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-21" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>中草药费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463800311310229506" itemCode="CM-6-21"><a id="1463800311310229506_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463800311310229506_Note"></span></div><div class="itemTR" id="1463800313579347969_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-22" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>血费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463800313579347969" itemCode="CM-6-22"><a id="1463800313579347969_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463800313579347969_Note"></span></div><div class="itemTR" id="1463800315810717698_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-23" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>白蛋白类制品费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463800315810717698" itemCode="CM-6-23"><a id="1463800315810717698_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463800315810717698_Note"></span></div><div class="itemTR" id="1463800318167916545_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-24" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>球蛋白类制品费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463800318167916545" itemCode="CM-6-24"><a id="1463800318167916545_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463800318167916545_Note"></span></div><div class="itemTR" id="1463800320353148930_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-25" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>凝血因子类制品费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463800320353148930" itemCode="CM-6-25"><a id="1463800320353148930_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463800320353148930_Note"></span></div><div class="itemTR" id="1463800324237074434_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-26" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>细胞因子类制品费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463800324237074434" itemCode="CM-6-26"><a id="1463800324237074434_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463800324237074434_Note"></span></div><div class="itemTR" id="1463800327802232833_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-27" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>检查用一次性医用材料费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463800327802232833" itemCode="CM-6-27"><a id="1463800327802232833_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463800327802232833_Note"></span></div><div class="itemTR" id="1463800330113294337_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-28" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>治疗用一次性医用材料费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463800330113294337" itemCode="CM-6-28"><a id="1463800330113294337_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463800330113294337_Note"></span></div><div class="itemTR" id="1463800332378218497_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-29" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>手术用一次性医用材料费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463800332378218497" itemCode="CM-6-29"><a id="1463800332378218497_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463800332378218497_Note"></span></div><div class="itemTR" id="1463800334756388865_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-30" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其他费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463800334756388865" itemCode="CM-6-30"><a id="1463800334756388865_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463800334756388865_Note"></span></div></div></div></div><div id='anchor' class='anchor'><ul class='anchor-list'><li style='overflow:hidden;white-space:nowrap;'><div class='circle'></div><a href='#Title0'>基本信息</a></li><li style='overflow:hidden;white-space:nowrap;'><div class='circle'></div><a href='#Title1'>ALL-1住院症状体征及检查</a></li><li style='overflow:hidden;white-space:nowrap;'><div class='circle'></div><a href='#Title2'>ALL-2临床危险度分层</a></li><li style='overflow:hidden;white-space:nowrap;'><div class='circle'></div><a href='#Title3'>ALL-3用药信息</a></li><li style='overflow:hidden;white-space:nowrap;'><div class='circle'></div><a href='#Title4'>ALL-4治疗信息</a></li><li style='overflow:hidden;white-space:nowrap;'><div class='circle'></div><a href='#Title5'>ALL-5评估信息</a></li><li style='overflow:hidden;white-space:nowrap;'><div class='circle'></div><a href='#Title6'>ALL-6不良反应</a></li><li style='overflow:hidden;white-space:nowrap;'><div class='circle'></div><a href='#Title7'>ALL-7抗菌药物使用情况</a></li><li style='overflow:hidden;white-space:nowrap;'><div class='circle'></div><a href='#Title8'>ALL-8输血信息</a></li><li style='overflow:hidden;white-space:nowrap;'><div class='circle'></div><a href='#Title9'>ALL-9健康教育</a></li><li style='overflow:hidden;white-space:nowrap;'><div class='circle'></div><a href='#Title10'>ALL-10离院方式</a></li><li style='overflow:hidden;white-space:nowrap;'><div class='circle'></div><a href='#Title11'>ALL-11患者对服务的体验与评价</a></li><li style='overflow:hidden;white-space:nowrap;'><div class='circle'></div><a href='#Title12'>ALL-12平均住院日与费用</a></li></ul></div>
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